| NPI | 1316310535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PHALEN Director 219-554-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2023-02-13 |